Share it

Dynamic SPECT Case Study

Patient 10 - Stress/Rest

Images Courtesy of Nobuo Iguchi, MD, PhD, Sakakibara Heart Institute, Tokyo Japan

76 Year Old Male

  • 77.7 kg
  • 165 cm

Save

Save

Save

Save

Save

Save

Previous Studies:

  • 1980: Chest oppression (2-3 times/year)
  • Sep 2004: Frequent chest oppression à MPI (positive)
  • Oct 2004: CAG (LAD#6: 50%, LCX#12-1: 50%, RCA#4PD: 50%)
  • Feb 2016: Shortness of breath on exertion
  • Apr 2016: CRBBB
  • Oct 2016: Cardiac CT (Agatston score : 818.39, Difficult to distinguish due to calcification)
  • Nov 2016: Symptom reduction (Flandol tape)

Coronary Angiography

Indicates no PCI; Consider CABG

  • Feb 2017
  • LAD#6: 75%, #7: 75%, #9-1: 75%
  • LCX#11: 75%, #12-1: 90%

Perfusion Scan

Referred for stress/rest test

Coronary Flow Reserve

Abnormal response

  • Mar 2017
  • CFR: 1.23